경련성(spasticity) 평가를 위한 Modified Ashworth Sclae의 측정자간 신뢰도

• 영문명: Inter-Rater Reliability of the Modified Ashworth Scale of Spasticity
• 발행기관: 한국전문물리치료학회
• 저자명: 이충휘(Yi Chung-hwi) 구애련(Marion E. Current)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제1권 제1호, 1~9쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 1994.12.31

영문 초록

This study was performed to determine the inter-rater reliability of manual tests of elbow, knee flexor, and ankle dorsiflexor muscle spasticity graded on the Modified Ashworth Scale. Two raters each independently graded the spasticity of 32 patients with intracranial lesions after moving the paretic limb passively through the available range of motion. The patients were asked to simultaneously squeeze therapeutic putty with their non-paretic hand for reinforcement. The ratings wee compare by the Wilcoxom matched pairs signed-rank test and by the kendall's coefficient of rank(tau) correlation. There was singificant correlation between two raters for spasticity at the elbow, knee flexor, and ankle dorsiflexor. The correlations of the two raters ranged from .6746 to 9308. The highest correlation was for the elbow with reinforcement and the lowest was for the knee without reinforcement. Poorer correlation was evident in the knee joint. The positive results of this study encourage the continued use of manual tests of muscle spasticity, using the Modified Ashworth Scale.

목차

Abstract

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

인용문헌

키워드

Spasticity Modified Ashworth Scale Inter-Rater reliability